Hi @bobbygene I am glad you are doing what we all need to do, go more than local and get good opinions. One can use zoom and all, but it is so hard to gauge. I at first mostly used zoom with Dr Scionti who did my Tulsa, but glad I met him for going over it all too. You will have to gauge each one (Tulsa or Brachy) and the providers as well. Are they really on top of your specific data? You really want that. If you have much BPH then brachy is out, so I couldn't opt for that at all, even if I wanted. I think you should make notes after each doctor appointment, re-read and re-write and that provides clues. I mapped out a lot of what I heard and went with Tulsa because I felt Dr Scionti really looked at my data closely and was on top of the MRI problems. Hopefully some method will make you choose, but do for sure go out and talk to all the possible providers. Good notes with writing what you heard and felt on each, then re-writing helped me a ton.